Author: Tim Bertelsman, DC, DACO

Dysfunctional Breathing

Could Dysfunctional Breathing Be Suffocating Your Outcomes? The diaphragm is necessary not only for respiration but for core stability as well. (1-3) The diaphragm is a key trunk stabilizer during postural activity and must properly activate upon demand. Dysfunctional breathing patterns may perpetuate many common musculoskeletal problems involving the head, neck, shoulder, and lower back.

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Knee Pain

Patellofemoral pain syndrome (PFPS), also called “Runner’s Knee,”, describes the symptom complex of knee discomfort, swelling or crepitus that results from excessive or imbalanced forces acting on the joint. PFPS can be traumatically induced but more commonly results from muscular imbalance and cumulative overload. It is the most common cause of knee pain in the general population, affecting an estimated 25% of adults. (1,5,23) Many PFPS patients are young and athletic. (32) Data suggests the condition may affect nearly 10% of young athletes. (2)

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Shoulder Pain

The shoulder is responsible for approximately 16% of all primary care musculoskeletal visits. (1) Many of these patients exhibit an often overlooked, altered scapular position and motion pattern called, “Scapular dyskinesis” (i.e. “winging”) (2,3) In order for clinicians to properly manage shoulder pain, including rotator cuff problems, they must first be able to recognize and treat scapular dyskinesis.

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